Housatonic Valley Dental Care

NPI 1023423399 - Clinic/Center - 261QD0000X

NPI Details
NPI 1023423399
Enumeration Date 06/25/2014
Last Updated 06/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOHN JOHN
Position PRESIDENT
Phone (860) 559-2664
Fax
Practice Location
60 CHURCH STREET
CANAAN CT, 06018, US
Phone (860) 559-2664
Fax
Business Location
60 CHURCH ST
CANAAN CT, 06018-2481, US
Phone
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Connecticut
License Number 10357
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According to our database, Housatonic Valley Dental Care NPI is 1023423399, taxonomy code is 261QD0000X and license number is 10357, license state is located at Connecticut. Housatonic Valley Dental Care physically located at 60 Church Street, Canaan CT, 06018. NPI Number 1033115704 has the healthcare provider type.

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1023423399 NPI number is provided on an as is basis without warranty of any kind. 1023423399 is maintained by the National Plan & Provider Enumeration System. The contents of Housatonic Valley Dental Care are for informational purposes only.